Individual
TROY VINCENT VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4430 MISSOURI AVE, FORT LEONARD WOOD, MO 65473-9098
(578) 596-0417
Mailing address
4430 MISSOURI AVE # 1267, FORT LEONARD WOOD, MO 65473-9098
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA02410
TX
Other
Enumeration date
04/21/2006
Last updated
02/15/2023
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